Condition 1: Pleural effusion, not elsewhere classified. Condition 2: Pleural effusion in conditions classified elsewhere. Condition 3: Pneumothorax. Condition 4: Other pleural conditions. Condition 5: Acute pulmonary insufficiency following thoracic surgery. Pleurisy with effusion Pleural effusion in conditions classified elsewhere Pneumothorax Other pleural conditions Acute pulmonary insufficiency following thoracic surgery
Conditions
Interventions
Intervention 1: Standard general anesthesia with double lumen tracheal tube insertion in the control goup. Intervention 2: Epidural anesthesia by insertion of thoracic epidural catheter and injection
Treatment - Other
Standard general anesthesia with double lumen tracheal tube insertion in the control goup
Epidural anesthesia by insertion of thoracic epidural catheter and injection of Marcaine in the intervention group
Sponsors
Tabriz University of Medical Sciences
Eligibility
Sex/Gender
All
Age
20 Years to 60 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria: candidate for thoracospy; ASA class I or II; 20-60 Y/O; ability to be in lateral position; little tracheal secretions; no need for preoperative mechanical ventilation Exclusion criteria: no consent for epidural anaesthesia; no cooperation for epidural anaesthesia; inability to perform epidural anaesthesia
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Duration of operation. Timepoint: during the operation of each patient. Method of measurement: with a timer.;Minimum and maximum heart rate. Timepoint: during the operation of each patient. Method of measurement: with an electrocardiograph.;Minimum arterial oxygen saturation. Timepoint: during the operation of each patient. Method of measurement: with a digital pulse oxymeter.;Minimum and maximum arterial pCO2. Timepoint: every half hour during the operation. Method of measurement: with arterial blood gas sampling.;Minimum and maximum respiratory rate. Timepoint: during the operation of each patient. Method of measurement: with a respiratory rate monitor.;Minimum and maximum systolic and diastolic blood pressure. Timepoint: during the operation of each patient. Method of measurement: by NIBP monitor.;Duration of hospital stay. Timepoint: after the operation till discharge. Method of measurement: total hospital stay.;Duration of ICU stay. Timepoint: after the operation till transfer to the ward. Method of measurement: total ICU stay.;Duration of mechanical ventilation. Timepoint: after the operation till extubation. Method of measurement: total hours of need for mechanical ventilation.;In hospital mortality. Timepoint: after the operation till discharge. Method of measurement: report of death by the attending physician. | — |
Secondary
| Measure | Time frame |
|---|---|
| Need for conversion to general anesthesia. Timepoint: during the operation. Method of measurement: report of the conversion by the anesthesiologist.;Pain after the operation. Timepoint: 6 and 24 hours after the operation. Method of measurement: by visual analog scale. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactSamad Beheshti Rouy
Tabriz University of Medical Sciences
Outcome results
None listed